Art-based emotion regulation in major depression: Framework for intervention

Abstract

Emotional dysfunction is one of the fundamental symptoms of depression and the ability to flexibly use emotion regulation has been discussed as a promising target for related interventions. Prior research has examined the association between art-making and emotions; however, previous studies mostly rely on short-term mood enhancement, and we know little about how engagement in art can regulate emotions and lead to mood improvement. The current study reviews empirical studies of emotion regulation and proposes an intervention framework of art-based emotion regulation (ABER) for depression. The ABER intervention can serve as a practical guide for treating depression through (a) encouraging patients with blunted emotional responses to external stimuli to increase their emotional reactivity; (b) selecting and implementing art-based regulatory strategies, such as distraction, positive rumination, and acceptance, that target abnormalities of emotion regulation in depressed individuals; and (c) monitoring treatment progress and evaluating the outcomes in reinforcing patients’ abilities. Throughout this study, we clarify underlying mechanisms in the treatment process and detail recommendations for a more efficient and targeted intervention.